External Review Organization Certification
NHID's mission is to promote a safe and competitive insurance marketplace through enforcing New Hampshire's insurance laws. We are dedicated to doing so honestly, effectively, and promptly.
Applications and Documents for External Review Organization Certification
External Review Organization Certification for Healthcare Appeals
- Certification of Health Care External Review Organizations
- Certification Application (NEED DOC)
- List of NH Certified External Review Organizations for Healthcare
Independent Review Organization Certification for Long-Term Care Benefit Trigger Appeals
- Certification of Long-Term Care Independent Review Organizations
- The certification of each Long Term Care Independent Review Organizations is required to be periodically updated, see Ins 3601.30(d)(3)(n). Each Long Term Care Independent Review Organization must, therefore, file a recertification application no later than one year after the effective date of the most recent IRO certification.
NH Certified Independent Review Organizations (IROs) for External Appeal of a Healthcare Decision
- Advanced Medical Reviews - 600 Corporate Point, Suite 300 Culver City, CA 60230
- Christopher Place Healthcare Reviews - 2209 Forest Hills Dr. Suite 19 Harrisburg, PA 17112
- H.H.C.Group - 438 N. Frederick Avenue; Suite 200A Gaithersburg, MD 20877
- Healthcare Quality Strategies, Inc. - 557 Cranbury Road Suite 21 East Burwick, NJ 08816
- Managed Medical Review Organization - 44090 W. Twelve Mile Road Novi, Ml 48377
- MAXIMUS Federal Services, Inc. - State Appeals East 3750 Monroe Avenue; Suite 705 Pittsford, NY 14534-1302
- National Medical Reviews Inc. - 607 Louis Dr. Suite C Warminster, PA 18974 Revised December 13, 2023
- Physicians Review Organization, Inc. -1305 Abbot Road, Suite 100 East Lansing, MI 48823
- Physio Solutions, LLC - 7500 Brooktree Rd. Suite 300 Wexford, PA 15090
Long-Term Care Certified External Review Organizations
- MAXIMUS Federal Services, Inc.
ATTN: Andrew Iserson
3750 Monroe Ave.
Suite 705
Pittsford, NY 14534
FAX: 585-425-5296
andrewiserson@maximus.com - National Medical Reviews, Inc.
ATTN: Nina Uchniat
607 Louis Drive
Suite C
Warminster, PA 18974
Phone: 800-283-8196
Fax: 215-352-7801IRO@nmrusa.com